What is the best permanent solution for the under eye puffiness? (photos)

Thank you for your question. Lower blepharoplasty is an eyelid surgery that creates a smoother transition from the lower eyelid to the cheek. There are many technical variations that your surgeon might use during a lower blepharoplasty to customize the eyelid procedure and address concerns such as loose or wrinkled skin of the lower eyelid, excess puffiness or bags under the eyes, loose or sagging eyelid, and loss of volume in the cheek. Since the procedure involves removing skin or repositioning fat, lower blepharoplasty offers more permanent results compared to fillers or lasers. Your surgeon may recommend combining lower blepharoplasty with other procedures like fillers, facial fat transfer, Profound RF (microneedling with RF energy ), and chemical peels. To determine your eligibility for any of these procedures, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can do a proper evaluation, customize the best treatment plan, and ensure the best possible results.

Hi The best way to solve your problem is lower blepharoplasty. Fat injection can not be correct the puffy area. Fat injection may be affect tear through area but this treatment may not give a natural look. It is important that you could manage the process with a competent surgeon.Have a nice day.